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Political conditions and social attitudes also affect the formation of lesbian relationships and families in open.
Little of Sappho's poetry survives, but her remaining poetry reflects the topics she wrote about: women's daily lives, their relationships, and rituals.
As lesbian-feminists asserted, a sexual component was unnecessary in declaring oneself a lesbian if the primary and closest relationships were with women.
When considering past relationships within appropriate historic context, there were times when love and sex were separate and unrelated notions.
Because of society's reluctance to admit that lesbians exist, a high degree of certainty is expected before historians or biographers are allowed to use the label.
Far less literature focused on female homosexual behavior than on male homosexuality, as medical professionals did not consider it a significant problem. However, sexologists Richard von Krafft-Ebing from Germany, and Britain's Havelock Ellis wrote some of the earliest and more enduring categorizations of female same-sex attraction, approaching it as a form of insanity.
Krafft-Ebing, who considered lesbianism (what he termed "Uranism") a neurological disease, and Ellis, who was influenced by Krafft-Ebing's writings, disagreed about whether sexual inversion was generally a lifelong condition.